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NPI Code Detail

MEDICARE: PERFECT TEETH - UNION & ACADEMY P.C.

MEDICARE: PERFECT TEETH - UNION & ACADEMY P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6097CO

General Provider Information

NPI Number : 1528189925
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERFECT TEETH - UNION & ACADEMY P.C.
Provider Business Mailing Address
First Line : 5050 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4124
Country : US
Telephone Number : 719-260-6093
Fax Number : 719-260-2339
Provider Business Practice Location Address
First Line : 5050 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4124
Country : US
Telephone Number : 719-260-6093
Fax Number : 719-260-2339
Authorized Official
Title or Position : RCM, DIRECTOR
Name : LAUREN HILL
Credential :
Telephone Number : 972-930-7707
Provider Enumeration Date : 04/03/2007
Last Update Date : 09/19/2022

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Directions to “PERFECT TEETH - UNION & ACADEMY P.C. ” Practice Location

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